Find A PhysicianHome  |  Library  |  myDownstate  |  Newsroom  |  A-Z Guide  |  E-mail  |  Contact Us  |  Directions
curve gif

SUNY Downstate Medical Center

Child and Adolescent Psychiatry

Rotations

  • Year 1
  • Year 2
Months 1-2 3-4 5-6 7-8 9-10 11-12
Institution KCHC KCHC KCHC KCHC SUNY Downstate NYCCC, Brooklyn Campus
Rotation Name Inpatient Latency Inpatient Adol Male Inpatient Adol Female CPEP-CL Infant Child Learning Center Day Treatment Program and Intensive Day Treatment
% Outpatient 0 0 0 0 100% 100%

Child and Adolescent Inpatient Psychiatric Service
(Inpatient Child, Inpatient Adolescent, First Onset Psychosis)

The Child and Adolescent Psychiatric Inpatient Service (CAPIS) of KCHC, is certified by the New York State Office of Mental Health (OMH) to provide care for up to 45 children and adolescents. In order to offer developmentally appropriate programming, the service is divided into three self-standing units: 1) children under the age of 13 years 2) adolescents 13 to 17 years old, and 3) adolescents and young adults age 16 to 23 years suffering with their first episode of psychosis. Most patients are admitted from KCHC CPEP or from pediatrics. Our programming includes a Department of Education approved school, psychotherapy, group therapy, family therapy and psychoeducation. We also have a behavioral support team to advice staff on behavioral, milieu treatments, psychopharmacology, and psychotherapy management techniques. The fellow will be able to see various psychiatric disorders in an inpatient setting. They will be participating in various group activities and participate in treatment plan meetings. They will conduct family meetings. They will also learn about various legal proceedings in an inpatient setting.

Child Psychiatry Consultation Liaison Service

The Child and Adolescent Consultation-Liaison Service is a subspecialty consultation service available to hospital pediatric and medical services for patients under 18 years of age presenting with psychiatric symptoms. Its services include psychiatric evaluation, psychiatric treatment during medical hospitalization, assistance with disposition and discharge planning for patients with psychiatric co morbidities. The fellows will be seeing a variety of psychosomatic conditions.  The fellows will be able to see patients in a variety of settings such as the medical unit inpatient and outpatient setting in the medical emergency room and labor and delivery.

Comprehensive Psychiatric Emergency Program (CPEP)

The KCHC CPEP is the largest psychiatric emergency room in Brooklyn. An interdisciplinary team of subspecialty-trained clinicians is available to provide evaluation and emergency care for children and families in need. The services provided include crisis-oriented evaluations, interventions and referral, psychopharmacological management, supportive therapy, family therapy and referrals for psychosocial support services. The fellows will be able to see children in an emergency setting. They will be able to treat evaluate and diagnose patients acutely. They will also be working together with a multidisciplinary team, which includes nurses, other doctors and social workers.

Infant Child Learning Center (ICLC)

The Infant Child Learning Center (ICLC) is located at SUNY Downstate. It provides a comprehensive service program to children from birth to five years of age who are challenged with a disability stemming from a variety of medical conditions including: premature birth, neurological impairment, congenital anomalies, orthopedic impairment, and HIV infection. These services are provided at no direct cost to the parents. The program is open to eligible children and their families who can benefit from skilled interdisciplinary services, including Early Intervention Preschool Education Services. ICLC also provides strong support for parents in advocating for school services. When first year Child and Adolescent Psychiatry trainees rotate through ICLC, they learn to do a comprehensive psychosocial and developmental history, learn about multidisciplinary assessment of infants and toddlers with developmental problems, including Occupational Therapy, Speech Therapy and Physical Therapy. Fellows also will develop the understanding of parental issues surrounding having a child with developmental disabilities, how families learn to navigate through the Department of Education process to obtain services, as well as learning to do crisis counseling. Fellows have the unique opportunity to observe a day care setting where typically developing children interact with those with special needs.

NYCCC Day Treatment Program

The first year Child and Adolescent Psychiatry Fellows rotate through NYCCC-Brooklyn Campus for the Day Treatment Program rotation. The fellows will observe classroom functioning, work closely with a multidisciplinary staff to assess and treat children who have been admitted to the Day Treatment Program.



CPEP Comprehensive Psychiatric Emergency Program
CL Consultation Liaison
ICLC Infant Child Learning Center
KCHC Kings County Hospital Center
NYCCC New York City Children's Center, Brooklyn Campus
SUNY State University of New York
Months 1 2 3 4 5 6 7 8 9 10 11 12
Institution KCHC and NYCCC Brooklyn Campus
Major Rotation DEC NYCCC IDT Schol Elect OPD walk in evals
Minor Rotation Forensics School consult and Neuro IBR Schol Elec Child Abuse
Outpatient Ongoing Psychopharmacology and Psychotherapy cases at KCHC and NYCCC-Brooklyn Campus
% Outpatient 90% 90% 60% 90%
% Research/Sch Elective 10% 10% 40% 10%

Child Abuse Clinic

The Child Abuse Clinic is a rotation through which the second year Child and Adolescent Psychiatry fellows gain a fund of knowledge on how to recognize and treat child physical or sexual abuse and neglect cases. They rotate with a specialized pediatrics team at the Kings County Hospital Center Child Abuse Clinic, including social workers, who evaluate cases that have been reported as possible maltreatment towards a minor. Fellows will learn how to sensitively take a sexual history and learn the medical, psychological and legal assessments that are needed to be done in a child that has been abused.

Developmental Evaluation Clinic (DEC)

The Developmental Evaluation Clinic is located at Kings County Hospital Center. CAP fellows will assess children who are between the ages of birth and 17 years, who exhibit developmental, language or motor delays, mental retardation, autism spectrum disorders or other neurological problems. Children are provided with multidisciplinary evaluations, including speech, psychological, psychiatric, neurological, early intervention and neuropsychological assessments as needed. Among other services are case management services for short-term counseling, early intervention services, speech therapy and parent counseling. The Child and Adolescent Psychiatry fellows will rotate through DEC during their second year, conducting and observing evaluations, treating patients with ongoing psychotherapy and medication management.

Forensics

The second year Child and Adolescent Psychiatry fellows are given the unique experience to work with forensic psychiatrists and psychologists at the Supreme Court located in Downtown Brooklyn. The fellows will observe forensic evaluations and learn about the court system as it pertains to mental health issues. The fellows also have an opportunity to observe court cases related to child issues such as family court and custody hearings.

Institute for Basic Research (IBR)

IBR is a two month rotation where the fellows rotate once a week for 2 months. The fellows will be working with patients with developmental disabilities. The fellows will be able to learn about the causes of mental retardation and the characteristics of autism. They will be able to learn about various genetic illnesses which contribute to developmental disabilities. They will also meet with a genetic counselor to discuss about disease conditions. The facility is a state governed facility.

Kings County Hospital Center Child and Adolescent Outpatient Department (OPD)

The OPD is a multidisciplinary diagnostic and therapeutic clinic serving children and adolescents living in the borough of Brooklyn who are younger than 18 years old. We work with children and adolescents who present with a range of emotional, behavioral, social, and school problems, with the exception of some developmental delays and substance abuse. Our services include walk-in evaluations and ongoing outpatient treatment, including individual, group, and family psychotherapy, and medication treatment. Walk-in hours are Monday-Friday from 9:00 am to 1:00 pm. Clinic treatment appointment hours are Monday-Friday from 8:00 am to 8:00 pm. The fellows will be able to work with patients in an outpatient setting.

Neurology Clinic

The Pediatric Neurology Outpatient Clinic is located in the KCHC E building, where children with a wide array of neurological disorders are evaluated up until 21 years of age. Child and Adolescent Psychiatry second year trainees are exposed to such conditions such as seizure disorders, developmental delay, neurological tumors and infections, neurodegenerative disorders and neurological manifestations of system disorders. The fellows learn to do basic neurological exams of children and adolescents, learn of common neurological disorders in this population, co-morbid psychiatric conditions and to set up differential diagnoses of such illnesses.

NYCCC Outpatient Clinic

The second year Child and Adolescent Psychiatry Fellows rotate through NYCCC-Brooklyn Campus Outpatient Clinic on a weekly basis. The fellows' responsibilities and experiences will include being the primary clinician on their assigned cases. This entails providing medication management, individual psychotherapy, as well as case management.

School Consultation

The school consultation rotation takes place in conjunction with the seminar and trainees from the Department of Psychology. Second year Child and Adolescent Psychiatry fellows participate in consultation at a local Brooklyn Elementary school (PS 235) to observe typical child behavior at different developmental levels at school. Fellows have the opportunity to interact with teachers and students to learn how children's behaviors are affected by the classroom milieu. Fellows will gain exposure to varied academic strategies that foster learning, understand the NYC school system and the role of staff members, and closely interact with school teachers to discuss classroom dynamics.

Research Selective / Scholarly Activity

All second-year residents engage in research or scholarly activity of their choosing with the support of a senior faculty mentor. The formal proposal for research/scholarly activity is due in August.

Goals and Objectives:

  1. Exploration of an area of interest in a fashion that advances the resident's knowledge of basic principles of research, including:
    • Transforming an idea into a research question
    • Conducting a literature review
    • Choosing an appropriate study design
    • Determining appropriate methods and instruments
    • Collecting, managing, and analyzing data
    • Preparing and submitting a protocol to the Institutional Review Board
    • Writing up a case with an accompanying literature review for submission to a journal
  2. Consolidating the process and findings of the research/scholarly activity in a grand rounds presentation (and, in some cases, a paper). Preparing and presenting at Grand Rounds in Spring 2014 is a program requirement.


DEC Developmental Evaluation Clinic
IBR Institute for Basic Research
IDT Intensive Day Program
KCHC Kings County Hospital Center
NYCCC New York City Children's Center, Brooklyn Campus
OPD Outpatient Department
SUNY State University of New York

« Back to Top